Whalio Doctors

NPI 1336536036

Carolyn Chen Clark, MD

Practitioner Diagnostic Radiology Physician Kailua, HI

Practice location

Address
640 Ulukahiki St, Kailua, HI 96734-4454
Phone
(503) 251-6855
Mailing address
PO Box 16961, Portland, OR 97292-0961

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 21521 (HI)

Registry record

NPI
1336536036
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Apr 2015
Record last updated
12 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.